The Maine Licensed Denturist Association (MLDA) understands the challenges facing our members, and we work tirelessly on your behalf to provide training and educational workshops.

Your continued commitment to MLDA enables us to:

  • Stimulate the Industry through programs, events, and services.
  • Provide timely communications about issues that impact our members.
  • Work with Industry partners on issues giving us a larger voice.
  • Increase your visibility with a listing on our website.

Please complete the following information to apply for membership to the Maine Licensed Denturist Association. All fields are required. Membership is not guaranteed and is subject to approval. Annual membership dues are $450.00 which include your NDA dues fees.

Membership Application
First
Middle Initial
Last
Suffix
Please provide a direct number to reach you.
Please provide your company/work email address.
Please list all clinics.
Please provide your professional history.
You have selected to pay by invoice. An invoice will be generated and emailed to you. Your membership will not be activate until payment has been completed. Thank you!
You have selected to pay online. Your membership will be activated once your payment has been confirmed. Thank you!
Information Acknowledgement
Information Acknowledgement
Membership Acknowledgement

For Administration Use Only